What is Shayne Wilson's NPI number?

Shayne Wilson's National Provider Identifier (NPI) is 1396563995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shayne Wilson's specialty?

Shayne Wilson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Shayne Wilson located?

Shayne Wilson's practice location on file with NPPES is 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904.

What is Shayne Wilson's phone number?

The practice phone number listed in the NPPES registry for Shayne Wilson is (616) 451-3001.

Is Shayne Wilson's NPI active?

Yes — Shayne Wilson's NPI (1396563995) is active in the NPPES registry as of the last update on 2024-10-01.

IndividualActive

Shayne Wilson

NPI 1396563995 · Social Worker · Grand Rapids, MI

Shayne Wilson is a Social Worker provider in Grand Rapids, MI (NPI 1396563995).

Provider details

NPI number: 1396563995
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1115 Ball Ave Ne

Grand Rapids, MI 49505-5904

Phone: (616) 451-3001

Street-level locationGet directions

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Mailing address